Most Relevant Information
Provider Data
NPI Number: | 1003281866 |
Provider Name: | SABRINA MARIE BEIERLY VICK DHAT |
Entity Type: | Individual |
Taxonomy Code: | 125J00000X |
Specialty: | Dental Therapist |
License Number: | 15-131-DHAT |
Most Important Dates
Enumeration Date: | 12/04/2015 |
Last Updated: | 12/09/2019 |
Provider Practice Location
3245 HOSPITAL DR
JUNEAU
AK
998017809
Practice Location Phone/Fax
Phone: | 9074634040 |
Fax: |
Provider Mailing Location
3100 CHANNEL DR STE 300
JUNEAU
AK
998017837
Provider Mailing Phone/Fax
Phone: | 9074634074 |
Fax: | 9074631510 |